Individual
MISS KILYNN LOIS HAINLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 EAST YOUNG ST, POCATELLO, ID 83201-5736
(208) 223-8780
(208) 242-3892
Mailing address
850 EAST YOUNG ST, POCATELLO, ID 83201-5736
(208) 223-8780
(208) 242-3892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42705
ID
Other
Enumeration date
09/09/2019
Last updated
12/06/2023
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